- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $41,686.94 / $50,118.72
| Facility | | $33,884.42 | $41,686.94 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $37,153.52 / $60,255.96
| Facility | | $36,307.81 | $37,153.52 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $42,657.95 / $66,069.34
| Facility | | $32,359.37 | $42,657.95 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $54,954.09 / $54,954.09
| Facility | | $25,703.96 | $54,954.09 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $46,773.51 / $70,794.58
| Facility | | $33,884.42 | $46,773.51 | $70,794.58 |